NPIMap

Individual provider Active NPI

Christopher Jason Smith, P.A.

  • Interventional Pain Medicine Physician
  • Corvallis, OR
National Provider Identifier
1053744524
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
PA164650 Issued in OR
Practice address
800 NE Circle Blvd
Corvallis, OR 97330-4256
Phone
(541) 286-4742
Fax
(833) 450-5933
NPI assigned
Aug 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X PA164650 OR
Physician Assistant 363A00000X PA164650 OR
Interventional Pain Medicine Physician 208VP0014X PA164650 OR Primary

Addresses

Primary practice location

800 NE Circle Blvd
Corvallis, OR 97330-4256

Mailing address

800 NE Circle Blvd
Corvallis, OR 97330-4256
Phone (541) 286-4742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160328000996 OR Practitioner - Physician Assistant 5597061556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Corvallis Medical Group LLCGroup PAC ID 1658500608, 5 clinicians

Practice addresses (Care Compare)

800 NE Circle Blvd
Corvallis, OR 97330-4256
Phone (541) 286-4742

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.05 of 100Reported as group
Quality
86.64
Promoting interoperability
100
Improvement activities
40
Cost
83.53

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA164650ORMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corvallis Medical Group LLC Pain Medicine CurrentSince Feb 20, 2016 Accepting new patients

Locations

545 SW 2nd St
Ste 200
Corvallis, OR 97333
Phone (541) 286-4742

800 NE Circle Blvd
Corvallis, OR 97330
Phone (541) 286-4742

2175 NW Professional Dr
Corvallis, OR 97330
Phone (541) 730-4400

Interoperability endpoints

  • Direct secure messaging: christopher.smith.1@29820.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 74

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 74

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1053744524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NE CIRCLE BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304256",
            "telephone_number": "541-286-4742",
            "fax_number": "833-450-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NE CIRCLE BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304256",
            "telephone_number": "541-286-4742",
            "fax_number": "833-450-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "middle_name": "JASON",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-19",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OR",
            "license": "PA164650",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA164650",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OR",
            "license": "PA164650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.